| NPI | 1730698077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY RUSSALESI Chief Compliance Officer 484-246-9499 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies | |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2025-10-13 |